FORM 1023-EZ for CARE COLLABORATORY INC

Field Data
EIN 84-4493030
Case Number EO-2020115-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARE COLLABORATORY INC
Organization’s Mailing Address 700 EAST UNIVERSITY AVE
City LAFAYETTE
State LA
ZIP 70503
Accounting period End 12
Primary contact name GENE BEYT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERRY BRIGHT
DIRECTOR
1394 HORSESHOE DRIVE
FRUITA CO 81521-8902

Officer/Director/Trustee Two

GARY OFTEDAHL
DIRECTOR
8536 TUXEDO ROAD
ONAMIA MN 53569

Officer/Director/Trustee Three

GENE BEYT
DIRECTOR
7920 OAKLAND ROAD
INDIANAPOLIS IN 46240-2746

Organization’s website HTTPS://CARECOLLABORATORY.ORG/
Organization’s email GENEBEYT@CARECOLLABORATORY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2018
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GENE BEYT
Signature Title DIRECTOR
Signature Date 4/22/2020

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